Tender Form DELH I STA TE CA N CER IN ST IT U T E

ADDITIONAL INFORMATIONTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.20111. State your IT PAN, Service Tax and VAT registration Nos.:2. Confirm whether you have attached your latest IT,Service Tax & VAT Returns (attested photocopy thereof):Yes/No3. Status: Indicate whether you are Large Scale Unit or Small Scale Industry LSU/SSIi. If you are a small-scale unit registered with National Small Industry Corporation(NSIC) under single point Registration scheme, whether there is any monetary limit?ii. In case you are registered with NSIC, whether you have attached a copy of theRegistration Certificate?4. Please indicateName & address of your banker5. Business name and constitution of the firm. Is the firm registered under:i. The Indian Companies Act, 1956ii. The Indian Partnership Act, 1932iii. Any act, if not, who are the owners(Please give full names and address)6. For partnership firms state whether they are registered or not registered under IndianPartnership Act, 1932. Should the answer to this question by a partnership firm be in theaffirmative please state further:iv. Whether by the partnership agreement authority to refer disputesconcerning the business of the partnership to arbitration has beenconferred on the partner who has signed the tenderv. If the answer to (a) is in the negative, whether there is any general powerof attorney executed by all the partners of the firm authorizing the partnerwho has signed the tender to refer dispute concerning business of thepartnership to arbitration.vi. Whether you posses the requisite license for manufacturer of the storesand/or for the procurement of raw materials belonging to any controlledcategory required for the manufacturer of the stores? [In the absence ofany reply it would be assured that if license is required for the purposeraw materials and/or that you possess the required license].7. State whether business dealing with you has been banned by any Central/StateGovernment Organizations or any inquiry by Vigilance Deptt. or CBI is pending or held?SIGNATURE SEAL OF THE FIRM Page 10 of 16